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School Health Research Library

We have curated a library of peer-reviewed scientific studies from around the world published since 2016, focusing on the school built environment and occupant health and performance. This research builds on the 2017 Schools for Health: Foundations for Student Success report released by Harvard T.H. Chan School of Public Health that synthesizes foundational research about school indoor environmental quality impacts on students and staff.

To help translate this research into action in schools, we have compiled School Health Research Highlights to help school staff and leaders access key findings and actionable strategies on priority topics.


Displaying 231 - 240 of 585 | Export entire research library

Heat-Resilient Schoolyards: Relations Between Temperature, Shade, and Physical Activity of Children During Recess

Lanza, Kevin

Temperature ranged 11 C to 35 C. Each 1 C higher temperature was associated with a 0.7 percentage point lower time spent in MVPA, until 33 C (91 F) when the association changed to a 1.5 lower time (P < .01). Each 1 C higher temperature was…

Keywords: Latino, Climate change adaptation, green schoolyards, Low-income, shade sail structures, urban tree canopy.

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The role of weather conditions on time spent outdoors and in moderate-to-vigorous physical activity among Norwegian preschoolers

Ylvisaker, Einar

Associations for MVPA depended on whether the analyses were adjusted for outdoor time or not. In unadjusted analyses, rainfall, wind, and wet, icy, and mixed playground conditions were negatively associated with MVPA, while temperature, snowfall,…

Keywords: Weather, accelerometry, Kindergarten, outdoors, playground, preschoolers

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A multi-layered strategy for COVID-19 infection prophylaxis in schools: A review of the evidence for masks, distancing, and ventilation

McLeod, Robert S.

This review provides a comprehensive synthesis of current scientific evidence and emerging standards in relation to the use of layered prevention strategies (involving masks, distancing, and ventilation), setting out the basis for their…

Keywords: Air purification, infection prophylaxis in school classrooms, Masking and physical distancing, Mechanical ventilation, natural ventilation.

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Indoor soundscape in primary school classrooms

Visentin, Chiara

The results of the study indicate that the most frequent sounds in classrooms are generated by the students themselves (voices, movements) followed by the traffic. The urban context of the school modulates the children's perception when windows…

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Implementation and effectiveness of non-pharmaceutical interventions, including mask mandates and ventilation, on SARS-CoV-2 transmission (alpha variant) in primary schools in the Netherlands

Gorgels, Koen M.F.

Most implemented NPIs were aimed at students, except for masking mandates, which preferentially targeted teachers over students (63% versus 22%). We observed lower crude secondary attack rates in schools with a ventilation system compared to schools…

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Assessing the impact of SARS-CoV-2 prevention measures in Austrian schools using agent-based simulations and cluster tracing data

Lasser, J.

In the data we find that 40% of all clusters involved no more than two cases, and 3% of the clusters only had more than 20 cases. The model shows that combinations of NPIs together with vaccinations are necessary to allow for a controlled opening of…

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Model-Estimated Association Between Simulated US Elementary School-Related SARS-CoV-2 Transmission, Mitigation Interventions, and Vaccine Coverage Across Local Incidence Levels

Giardina, John

With student vaccination coverage of 70% or less and moderate assumptions about mitigation effectiveness (eg, masking), mitigation could only be reduced when local case incidence was 14 or fewer cases per 100?000 residents per day to keep the mean…

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Factors affecting the transmission of SARS-CoV-2 in school settings

Yuan, Haokun

The best-fit model showed that the intensity of community transmission (adjusted odds ratio [aOR]: 1.11, 95% CI: 1.06-1.16, for each increase of 1 case per 10 000 persons per week) and individualism (aOR: 2.72, 95% CI: 1.50-4.95, above vs. below the…

Keywords: COVID-19, Children, preventive measures, School, secondary attack rate

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Unintended consequences of measures implemented in the school setting to contain the COVID?19 pandemic: a scoping review

Kratzer, Suzie

Eighteen studies met our inclusion criteria. Of these, 13 used quantitative methods (3 experimental/quasi-experimental; 5 observational; 5 modelling); four used qualitative methods; and one used mixed methods. Studies looked at effects in different…

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